| Western Medical Llc | |
|
7300 S Western Ave Oklahoma City OK 73139-2002 | |
| (405) 708-4686 | |
| (866) 313-9161 |
| Full Name | Western Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 7300 S Western Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Cecil A Moore (PHYSICIAN) |
| Authorized Official Contact | 4057084686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Medical Llc Po Box 892518 Oklahoma City OK 73189-2518 Ph: (405) 708-4686 | Western Medical Llc 7300 S Western Ave Oklahoma City OK 73139-2002 Ph: (405) 708-4686 |
| NPI Number | 1164737243 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 08/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164737243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 3777 (Oklahoma) | Primary |
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